Application | Recording Performers Malaysia Berhad Customer Portal

APPLICATION FORM

License Type*

Particulars Of Applicant

Company Name*

Company Email*

Company Registration Number*

Company Mobile*

Business Type*

Address*

Address 2

Postcode*

City*

Country*

State*
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Contact Person*

Contact Person Mobile*

Designation*

Particulars of Event/Outlet

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Declaration & Agreement

Applicant Name*

Applicant IC*

Applicant Designation*

Application Date*

Business Registration Certificate (SSM)*

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I/We, the Applicant acknowledge and agree that I/we have read the Standard Terms and Conditions of Music Usage Permission as stated in the overleaf. The information in this Application Form is correct and I/we agree that the information shall form the basis of the Permission issued.